AVP, National Network Contracting - Aetna

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The AVP, National Accounts - Network Management is a senior leadership role within the Aetna Network organization, responsible for the strategic oversight and execution of national network strategies across CVS Health's largest health system partnerships. This role plays a critical part in advancing CVS Health's integrated care delivery model and national growth strategy. The AVP will lead enterprise-wide initiatives to optimize network performance, manage cost structures, and ensure alignment with both national and local market goals across Commercial, Medicaid, and Medicare lines of business. The role includes direct leadership of account leads for major health systems such as HCA. Key Responsibilities • Strategic Leadership • Develop and execute a comprehensive national network strategy informed by data-driven insights and market intelligence. Leverage CVS Health's integrated assets to drive innovation, cost efficiency, and quality outcomes across all national accounts. • Executive Negotiations • Lead and oversee complex, high-value negotiations with large national health systems, securing favorable terms and long-term, sustainable partnerships across all lines of business. • Operational Oversight • Ensure network infrastructure supports adequacy, compliance, cost containment, and profitability goals. Drive operational excellence through process simplification, centralization, and cross-functional collaboration. • Regulatory & Legal Representation • Serve as the corporate representative in high-stakes legal and regulatory matters, including DOJ Civil Investigative Demands, FTC merger inquiries, DOI investigations, and provider dispute resolution. Partner with Legal and Compliance to mitigate risk and ensure enterprise-wide compliance. • Cross-Functional Collaboration • Partner with Clinical, Actuarial, Product, and Market teams to manage medical cost trends, support growth initiatives, and ensure strategic alignment across national and local markets. • Executive Engagement • Build and maintain strong relationships with Market Presidents, CFOs, and Medicare General Managers. Represent the organization in high-stakes meetings, conferences, and negotiations with senior provider executives. • Innovation & Expansion • Champion new contracting models and value-based care initiatives. Lead national expansion efforts and promote adoption of non-traditional network strategies. • Team Leadership • Lead and inspire a high-performing, geographically dispersed team. Foster a culture of accountability, innovation, and collaboration. Qualifications • Approximately 13+ years of progressive leadership experience in healthcare network management, including national contracting and provider relations • Proven success in leading complex negotiations with large health systems and hospitals • Knowledge of VBC levers • Strong strategic thinking and enterprise-level perspective • Exceptional executive presence and communication skills • Demonstrated ability to lead cross-functional teams in a matrixed environment • Deep understanding of healthcare economics, regulatory frameworks, and market dynamics • Experience managing large, geographically dispersed teams Travel Requirement: 10-25% Education: Bachelor's degree or equivalent Location: Remote Pay Range The typical pay range for this role is: $157,800.00 - $363,936.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 11/02/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Apply tot his job Apply To this Job